Cutaneous Disease Resembling Mycosis Fungoides in HIV-Infected Patients Whose Skin and Blood Cells Also Harbor Proviral HTLV Type I

Abstract
Two homosexual HIV-infected patients with lymphocyte counts of tax and pol HTLV-I proviral sequences as shown by the polymerase chain reaction and Southern blot analysis. Dual infection with HIV and HTLV should be considered in the diagnostic work-up of patients at risk, even in the absence of demonstrable antibodies. Dual infections could result in clinical manifestations and evolution of disease not anticipated in patients who harbor only one of these retroviruses.